The following diagnostic procedures were performed with left common femoral access: Initial access left common femoral artery and sheath placement; Catheter advancement into abdominal aorta (nonselective) with aortic angiogram; Catheter advancement into right external iliac artery (selective) with right lower extremity (LE) angiogram; Further catheter advancement into right popliteal artery (fourth order) for further selective right leg angiography following initial baseline right LE angiogram; and Through the existing left common femoral artery sheath, a left LE angiogram was performed. What are the appropriate CPT codes to report? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This coding article explains how to approach a diagnostic vascular procedure involving left common femoral access, aortic imaging, and lower-extremity angiography. It focuses on CPT selection for catheterization and imaging services, including how baseline and follow-up imaging are organized and how bundled services are treated in this scenario. The material is intended for coders, auditors, and clinical documentation teams working with angiography and interventional radiology records.

Why This Topic Matters

Peripheral angiography coding can be affected by access site, catheter progression, vascular family selection, and whether imaging is baseline or additional study. Understanding the reporting structure helps support accurate CPT coding and reduce unbundling or duplicate reporting.

Codes Discussed

• CPT: 36247
• CPT: 75625
• CPT: 75716
• CPT: 75774
• CPT: 75630

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